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The specialty, frontier and home delivery pharmacies business of UnitedHealth Group’s pharmacy benefit manager, Optum Rx, has named Michael Einodshofer as CEO. Mr. Einodshofer most recently served as chief growth officer at Free Market Health, a healthcare technology company focused…

Earlier in June, the HHS Office of Inspector General published two reports shedding light on post-acute care denials and overturned appeals from Medicare Advantage organizations. AHIP is pushing back. “The reports ignore serious, well-documented concerns about wide variations in the…

Most health systems can launch an AI pilot. Far fewer turn that early momentum into measurable, organization wide results. The first months after deployment are where it’s decided. Measurement choices, workflow friction and change management either embed AI into daily…

Jul 15, 2026 12:00 PM - 1:00 PM CDT

Presented by:

Presented by
Presenters:
  • H. Jay Wisnicki, M.D., Medical Director, Union Square Eye Center
  • Aaron Nye, Chief Operations Officer, Connect America
  • Stephanie Lahr, MD, CHCIO, FACHDH, Chief Medical Information Officer, IntelePeer

Community Behavioral Health, a Medicaid behavioral health managed care plan in Philadelphia, didn’t meet federal and state requirements around prior authorization denials, according to a June audit report from HHS’ Office of Inspector General. CBH received about $1.28 billion in…

The Congressional Budget Office is requesting more research on the No Surprises Act. In a June 15 website post, CBO called for research relying on more recent data, as claims data for existing studies end in 2023, while arbitration patterns…

Clever Care Health Plan named Magda Lenartowicz, MD, as chief medical and innovation officer. In a June 18 LinkedIn post, the company said Dr. Lenartowicz brings over two decades of experience in value-based care for complex and high-risk populations. She…

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